The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
The right ventricle then pumps the blood back out of the heart into the lungs to be replenished with oxygen. Right-sided or right ventricular (RV) heart failure usually occurs as a result of left-sided failure. When the left ventricle fails, increased fluid pressure is, in effect, transferred back through the lungs, ultimately damaging the heart's right side.
You may not have any symptoms of heart failure, or the symptoms may be mild to severe. Symptoms can be constant, or can come and go.Symptoms are due to the changes that occur in your heart and body and include: 1  Shortness of breath or difficulty breathing with exercise, at rest, or when lying flat in bed.ou may not have any symptoms of heart failure, or the symptoms may be mild to severe. Symptoms can be constant, or can come and go.